北京及周边地区围绝经期女性性功能现状调查分析

Investigation and analysis of sexual status of perimenopausal women in Beijing and its surrounding areas

目的调查中国北京周边地区围绝经期女性性功能障碍的患病率和患病类型,分析围绝经期女性性功能的影响因素。方法采用横断面研究方法,使用女性性功能指数量表(Female Sexual Function Index,FSFI)和Kupperman评分量表和自制量表对北京及周边地区围绝经期女性进行问卷调查,并分析和探讨调查结果。结果共发放407份问卷,回收308例有效问卷进入统计学分析,有效回收率75.6%。北京周边地区围绝经期女性性功能障碍总体发病率为84.1%,性欲障碍、性唤起障碍、阴道润滑、性高潮、性交痛和性满意度发生率分别为95.5%、69.8%、60.7%、66.9%、69.5%和69.2%。不同年龄组围绝经期女性在性欲障碍、性唤起障碍、阴道的润滑度、性高潮障碍、性满意障碍以及性交痛等6个维度的得分差异有统计学意义(P<0.05)。结论影响围绝经期女性性功能的主要因素有年龄、绝经、激素补充、经济水平和身体健康状况。

Objective To investigate the prevalence and types of sexual dysfunction among perimenopausal women in Beijing and its surrounding areas, and to analyze the influencing factors of sexual function in perimenopausal women.Methods This was a cross-sectional study.The patients from Beijing and the surrounding areas were investigated with the Female Sexual Function Index Scale （FSFI） and Kupperman scale and self-made questionnaire.Results A total of 407 questionnaires were granted, and 308 valid questionnaires were collected and statistically analyzed.The effective rate of recovery was 75.6%.The overall incidence of menopausal female sexual dysfunction in the surrounding area of Beijing is 84.1%, sexual desire disorder, sexual arousal disorder, vaginal lubrication, orgasm, sexual pain and sexual satisfaction rate were 95.5%, 69.8%, 60.7%, 66.9%, 69.5% and 69.2%.Different age groups of perimenopausal women in 6 dimensions of sexual function index scores were significantly different （P〈0.05）.Conclusion The main factors affecting sexual function of perimenopausal women are age, menopause, hormone supplement, economic level and health status.